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1275197568
LOVAN EDWARDS
MASSAPEQUA, NY
NPI
1275197568
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2019-04-23
Last Update Date
2019-04-23
Business Address
LOVAN EDWARDS PTA
90 ROOSEVELT AVE
MASSAPEQUA, NY 11758-6824
Phone number: 516-451-9798
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Mailing Address
LOVAN EDWARDS PTA
90 ROOSEVELT AVE
MASSAPEQUA, NY 11758-6824
Phone number:
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